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The data in this column identifies the amount of support that the resident requires locomotion on the unit.
The data in this column identifies the resident's self-performance ability for locomotion off the unit.
G0100F2 ADL Assistance: Locomotion Off Support Provided Code
The data in this column identifies the resident's self-performance ability for dressing themselves.
The data in this column identifies the amount of support that the resident requires to dress themselves.
The data in this column identifies the resident's self-performance ability with eating.
The data in this column identifies the amount of support that the resident requires with eating.
The data in this column identifies the resident's self-performance ability with toilet use.
The data in this column identifies the amount of support that the resident requires to use the toilet.
The data in this column identifies the resident's self-performance ability with personal hygiene.
The data in this column identifies the amount of support that the resident requires with personal hygiene
The data in this column identifies the resident's self-performance ability for bathing.
The data in this column identifies how much support the resident requires for bathing.
The data in this column identifies the resident's balance while moving from a seated to standing position.
The data in this column identifies the resident's balance while walking (with assistive device if used).
The data in this column identifies the resident's balance while turning around and facing the opposite direction while walking.
The data in this column identifies the resident's balance while moving on and off the toilet.
The data in this column identifies the resident's balance while moving between surfaces (transfer between bed and chair or wheelchair).
The data in this column identifies the residen'ts level of upper extremity limitation (shoulder, elbow, wrist, hand).
The data in this column identifies the resident's level of lower extremity limitation (hip, knee, ankle, foot).
The data in this column indicates whether the resident normally utilizes a cane/crutch.
The data in this column indicates whether the resident normally utilizes a walker.
The data in this column indicates whether the resident normally utilizes a wheelchair (manual or electric).
The data in this column indicates whether the resident normally utilizes a limb prosthesis.
The data in this column indicates whether none of the mobility devices above were used by the resident.
The data in this column identifies whether the resident believes that they are capable of increased independence.
The data in this column identifies whether direct care staff believes that the resident is capable of increased independence.
This variable identifies the average expected cost-sharing amount in dollars for beneficiary co-insurance for a 1 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the coverage gap phase of the Part D benefit.
This variable identifies the average expected cost-sharing amount in dollars for beneficiary co-insurance for a 1 month supply of the drugs on this tier, using an in-network non-preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the coverage gap phase of the Part D benefit.
This variable identifies the average expected cost-sharing amount in dollars for beneficiary co-insurance for a 1 month supply of the drugs on this tier, using an innetwork pharmacy (INP; also known as a standard retail pharmacy) during the coverage gap phase of the Part D benefit.
Coverage gap: in-network non-preferred pharmacy co-insurance percentage for 1 month supply. Note, this field can only be populated if the plan has an enhanced benefit design with extra coverage in the gap.
Coverage gap: in-network non-preferred pharmacy co-insurance percentage for 3 month supply. Note, this field can only be populated if the plan has an enhanced benefit design with extra coverage in the gap.
Coverage gap: in-network preferred pharmacy co-insurance percentage for other supply. Note, this field can only be populated if the plan has an enhanced benefit design with extra coverage in the gap.
Coverage gap: long term care pharmacy co-insurance percentage for 1 month supply. Note, this field can only be populated if the plan has an enhanced benefit design with extra coverage in the gap.
Coverage gap: mail order pharmacy co-insurance percentage for 1 month supply. Note, this field can only be populated if the plan has an enhanced benefit design with extra coverage in the gap.
Coverage gap: out-of-network pharmacy co-insurance percentage for 1 month supply. Note, this field can only be populated if the plan has an enhanced benefit design with extra coverage in the gap.
Coverage gap: out-of-network pharmacy co-insurance percentage for other supply. Note, this field can only be populated if the plan has an enhanced benefit design with extra coverage in the gap.
This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using a mail order preferred pharmacy (MOPP) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using a mail order preferred pharmacy (MOPP) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using a mail order preferred pharmacy (MOPP) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using a mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using a mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using a mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using an in-network non-preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using an in-network non-preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using an in-network non-preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the coverage gap phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using a standard mail order pharmacy during the coverage gap phase of the Part D benefit.